Jacqualyn H. Raupach-Spencer, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

110765 Issued in WV

Practice address

725 N Pike St
Grafton, WV 26354-1270

Phone

(304) 265-0312

Fax

(304) 265-4915

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

West Virginia University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Monongalia County General Hospital CompanyGroup PAC ID 9638073380, 241 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024
• Preston Memorial Hospital Hospital, Kingwood, WV, CCN 511312

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as apm

Quality

69.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • Specialist
  • Morgantown, WV
  • NPI 1447673223
  Medicare reassignment Care Compare group NPD
• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1659489631
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • Specialist
  • Morgantown, WV
  • NPI 1447673223

  Hospital

  Care Compare affiliation
• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1659489631
  Care Compare affiliation
• Preston Memorial Hospital Corporation

  • Critical Access Hospital
  • Kingwood, WV
  • NPI 1013950054
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1366101354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263540399",
            "telephone_number": "304-265-4909",
            "fax_number": "304-265-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N PIKE ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541270",
            "telephone_number": "304-265-0312",
            "fax_number": "304-265-4915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2060 N Mountaineer Hwy",
            "address_purpose": "LOCATION",
            "city": "Newburg",
            "state": "WV",
            "postal_code": "264108994",
            "country_code": "US",
            "telephone_number": "304-892-2812",
            "fax_number": "304-892-2814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUPACH-SPENCER",
        "first_name": "JACQUALYN",
        "middle_name": "H.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "110765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston-Taylor Community Health Centers Incorporated (Dental Center of Taylor County)
• Preston-Taylor Community Health Centers, Incorporated (Dental Center of Taylor County)
• Preston-Taylor Community Health Centers, Incorporated (Taylor County Middle School-SBHC)
• Judith Lea Propst
• R Legacy Inv LLC (Beulahland Assisted Living)
• Jamilynn Reed
• Peggy Jane Reed
• Sarah Taylor Reed
• Rest Haven Nursing Home, Inc (Rosewood Center)
• Robert John Ricco, MS

• Nurse Practitioner in Grafton, WV
• Providers in Grafton, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.